44D0965182 CLIA NUMBER - NORTHGATE NEUROLOGY PLLC

Laboratory Demographics

  • CLIA Code: 44D0965182
  • Facility Name: NORTHGATE NEUROLOGY PLLC
  • Facility Address: 2051 HAMILL ROAD SUITE 302
    HIXSON, TN
    ZIP 37343
  • Facility Phone: 423 877-1212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LARRY GIBSON
  • NPI Number: 1235355744
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 44D0965182
LAB Type Physician Office
Facility Name NORTHGATE NEUROLOGY PLLC
Street 2051 HAMILL ROAD SUITE 302
City HIXSON
State TN
ZIP 37343
Phone 423 877-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Physician Office
Lab Director LARRY GIBSON

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This page was last updated on: 9/29/2025